Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Christine A Ferguson, LICDC-LISW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1831635002

MS. Christine A Ferguson, LICDC-LISW is a Clinical Social Worker in Maple Heights, Ohio. Qualified in 2014, 12 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2017
Specialties on file
3

Practice location Address checks out

16360 Broadway Ave Ste B101
Maple Heights, OH 44137-2573
Phone: (216) 510-7170
Fax: (216) 510-7213
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.2102896 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LICDC.161363 (OH)
Social Worker Taxonomy 104100000X · Licence S 1201586 (OH)

Record details

NPI number1831635002
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICDC-LISW
Sole proprietorYes
NPI enumeratedJanuary 12, 2017
Last updated in NPPESNovember 23, 2022
Certification dateNovember 23, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Maple Heights